Mrs Carol B Tanner, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fruit Heights, Utah. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice University Of Utah Adult Services and her current practice location is
45 S Mountain Rd, Fruit Heights, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 726-1340.
Mrs Carol B Tanner is licensed to practice in Utah (license number 2043774406) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417019456.
Provider's Profile
Full Name | Mrs Carol B Tanner |
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Gender | Female |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 27 Years |
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Location | 45 S Mountain Rd, Fruit Heights, Utah |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Carol B Tanner graduated from nursing school in 1997
NPI Data:
- NPI Number: 1417019456
- Provider Enumeration Date: 12/15/2006
- Last Update Date: 12/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 8224063458
- Enrollment ID: I20050927000951
Medical Identifiers
Medical identifiers for Mrs Carol B Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417019456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 2043774406 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
University Of Utah Adult Services | 0941525273 | 1435 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Carol B Tanner allows following entities to bill medicare on her behalf.
Entity Name | U U Anesthesiology Department School Of Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134158322 PECOS PAC ID: 8527963966 Enrollment ID: O20031128000007 |
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Entity Name | University Of Utah Adult Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Carol B Tanner is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Carol B Tanner, CRNA 45 S Mountain Rd, Fruit Heights, UT 84037-2313 Ph: (801) 726-1340 | Mrs Carol B Tanner, CRNA 45 S Mountain Rd, Fruit Heights, UT 84037-2313 Ph: (801) 726-1340 |
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